KVV E-Modules

Quadrant -I (Video)

Cardio Vascular System - Inspection

Cardio Vascular System - Palpation

Cardio Vascular System- Percussion

Cardio Vascular System- Auscultation

Quadrant - II (Study Material)

1. Clinical examination of Cardio Vascular System

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Quadrant - III (Assignments)

1. Cardio Vascular System – Inspection

Cardio Vascular System – Inspection

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2. Cardio Vascular System - Palpation

Cardio Vascular System - Palpation

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3. Cardio Vascular System- Percussion

Cardio Vascular System- Percussion

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4. Cardio Vascular System- Auscultation:

Cardio Vascular System- Auscultation:

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Quadrant - IV (MCQs)

The normal location of the apical impulse on inspection is:

A: Right 5th intercostal space B: Left 5th intercostal space, midclavicular line D: Left 2nd intercostal space D: Epigastrium

A visible heaving apex beat on inspection suggests:

A: Left ventricular hypertrophy B: Right ventricular failure C: Pericardial effusion D: Mitral stenosis

A visible heaving apex beat on inspection suggests:

A: Left ventricular hypertrophy B: Right ventricular failure C: Pericardial effusion D: Mitral stenosis

Which of the following may be seen on inspection in severe tricuspid regurgitation?

A: Carotid pulsations B: Epigastric pulsations C: Visible jugular venous pulsations D: Apex displacement

Inspection of precordium helps in identifying:

A: Heart sounds B: Murmurs C: Visible pulsations and deformities D: Blood pressure

The normal position of the apex beat in adults is:

A: 4th ICS, right MCL B: 5th ICS, left midclavicular line C: 6th ICS, left anterior axillary line D: 3rd ICS, left parasternal line

A visible pulsation in the epigastrium may indicate:

A: Left ventricular hypertrophy B: Right ventricular enlargement C: Aortic stenosis D: Mitral stenosis

Which chest deformity may affect cardiac examination?

A: Kyphosis B: Lordosis C: Scoliosis D: All of the above

A diffuse, hyperdynamic apex beat on inspection suggests:

A: Mitral stenosis B: Left ventricular hypertrophy C: Pericardial effusion D: Cardiogenic shock

Which condition may cause a displaced apex beat?

A: Pneumothorax B: Pleural effusion C: Cardiomegaly D: All of the above

Visible carotid pulsations are best seen in:

A: Aortic regurgitation B: Mitral stenosis C: Pulmonary stenosis D: Pericarditis

A retracted apex beat may be seen in:

A: Constrictive pericarditis B: LVH C: Dilated cardiomyopathy D: Hypertension

13) Which of the following is NOT a normal finding on inspection?

A: No visible pulsations B: Apex beat in 5th ICS C: Multiple abnormal pulsations D: Symmetrical chest movement

1. The apex beat is best palpated using:

A: Fingertips B: Palm C: Ulnar border of hand D: Dorsum of hand

A sustained and forceful apex beat indicates:

A: Volume overload B: Pressure overload (LVH) C: Pericardial effusion D: Normal finding

A thrill on palpation indicates:

A: Normal blood flow B: Turbulent blood flow due to murmur C: Decreased cardiac output D: Valve closure

Parasternal heave is indicative of:

A: Left atrial enlargement B: Right ventricular hypertrophy C: Aortic stenosis D: Mitral regurgitation

The normal location of the apex beat is:

A: 4th ICS, right midclavicular line B: 5th ICS, left midclavicular line C: 6th ICS, left anterior axillary line D: 5th ICS, right Parasternal

A heaving apex beat indicates:

A: Volume overload B: Pressure overload C: Pericardial effusion D: Normal finding

A hyperdynamic apex beat is seen in:

A: Aortic stenosis B: Mitral stenosis C: Aortic regurgitation D: Pericardial tamponade

A parasternal heave suggests enlargement of:

A: Left atrium B: Left ventricle C: Right ventricle D: Right atrium

The apex beat is produced by:

A: Atrial contraction B: Ventricular contraction C: Valve closure D: Blood turbulence

A displaced apex beat indicates:

A: Right ventricular hypertrophy B: Left ventricular enlargement C: Atrial fibrillation D: Valve stenosi

Palpable P2 indicates:

A: Systemic hypertension B: Pulmonary hypertension C: Mitral regurgitation D: Aortic stenosis

A tapping apex beat is classically seen in:

A: Aortic regurgitation B: Mitral stenosis C: Pericarditis D: Ventricular septal defect

Best position to palpate apex beat in difficult cases:

A: Supine B: Sitting upright C: Left lateral position D: Right lateral position

Cardiac percussion is used to assess:

A: Valve function B: Chamber size C: Heart sounds D: Blood pressure

Normal cardiac dullness is mainly due to:

A: Left atrium B: Right ventricle C: Left ventricle D: Pericardium

Icreased cardiac dullness may indicate:

A: Pneumothorax B: Cardiomegaly C: Emphysema D: Pleural effusion

Loss of cardiac dullness occurs in:

A: Pericardial effusion B: Cardiomegaly C: Emphysema D: Left ventricular hypertrophy

Percussion of heart is best done in:

A: Sitting position B: Supine position C: Standing position D: Prone position

Cardiac dullness merges with liver dullness at:

A: Left border B: Right border C: Inferior border D: Superior border

Right border of cardiac dullness is formed by:

A: Left ventricle B: Right ventricle C: Right atrium D: Left atrium

8. Percussion is least useful in:

A: Thin individuals B: Obese individuals C: Children D: Lean adults

The upper border of cardiac dullness corresponds to:

A: Atria B: Ventricles C: Great vessels D: Apex

10. Shifting cardiac dullness suggests:

A: Cardiomegaly B: Pleural effusion C: Pericardial effusion D: Pneumonia

The first heart sound (S1) is due to:

A: Closure of semilunar valves B: Closure of AV valves C: Opening of AV valves D: Atrial contraction

A loud S1 is seen in:

A: Mitral stenosis B: Mitral regurgitation C: Aortic stenosis D: Heart failure

An S3 heart sound indicates:

A: Normal in elderly B: Ventricular overload C: Valve stenosis D: Pericarditis

Pericardial friction rub is best heard with:

A: Bell B: Diaphragm C: Stethoscope removed D: Hand palpation

Pan-systolic murmur is seen in:

A: Aortic stenosis B: Mitral regurgitation C: Mitral stenosis D: Pulmonary stenosis

A loud S1 is seen in:

A: Mitral stenosis B: Mitral regurgitation C: Aortic stenosis D: Heart failure

An S3 heart sound indicates:

A: Normal in elderly B: Ventricular overload C: Valve stenosis D: Pericarditis

Best area to hear mitral valve sounds:

A: Right 2nd ICS B: Left 2nd ICS C: Apex D: Left lower sternal border

Pericardial friction rub is best heard with:

A: Bell B: Diaphragm C: Stethoscope removed D: Hand palpation

Pan-systolic murmur is seen in:

A: Aortic stenosis B: Mitral regurgitation C: Mitral stenosis D: Pulmonary stenosis

1st heart sound coincides with

A: Sound of inspiration B: Brachial artery pulsations C: Carotid artery pulsations D: Radial artery pulsations

Validation Certificates

1. Validation Certificates

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